Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandi N Rose, FNP-C

Individual provider Family Nurse Practitioner · NPI 1437540200

Brandi N Rose, FNP-C is a Nurse Practitioner in Fulton, Kentucky. Qualified in 2014, 12 years ago. Practices with Pinelake Physician Practice LLC, a 47-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Tennessee.

Years since qualifying
12
Licensed in
KY, TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

101 Main St
Fulton, KY 42041-1601
Phone: (270) 472-5245
Fax: (270) 472-5249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1509 E Reelfoot Ave, Union City, TN 38261-5845 — (731) 886-8662

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4015211 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 19671 (TN)

Record details

NPI number1437540200
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2015
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pinelake Physician Practice Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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